Table 2.

TGD-specific training

Characteristic	Number of Providers (%
% of current clients that are TGD
0%	8 (5.6%)
1–20%	65 (45.8%)
21–40%	24 (16.9%)
41–60%	16 (11.3%)
61–80%	16 (11.3%)
81–100%	13 (9.2%)
Number of TGD clients within the past five years
1–5	29 (20.4%)
6–10	28 (19.7%)
11–15	15 (10.6%)
15–20	8 (5.6%)
More than 20	62 (43.7%)
Completed TGD-specific training
Yes	115 (81%)
No	26 (18.3%)
Hours of training received
1–5	13 (9.2%)
6–10	29 (20.4%)
11–25	18 (12.7%)
More than 25	53 (37.3%)
Number of sources of training
1–3 sources	81 (57%)
4–6 sources	26 (18.3%)
More than 7 sources	4 (2.8%)
Sources of Training
Graduate Program	41 (28.9%)
Hospital	18 (12.7%)
Local LGBTQ organizations	59 (41.5%
PFLAG	17 (12%)
Professional Organization	62 (43.7%)
TGD Organizations	43 (30.3%)
WPATH	35 (24.6%)
University	28 (19.7%)
Other*- including area health education centers, online continuing education providers, other LGBTQ clinicians, specific programs (e.g., Psychotherapy Center for Gender and Sexuality NYC, Gender Spectrum, APA, Fenway Health in Boston, Gender Odyssey Seattle), VA online training, and self-learning through books and websites	20 (14.1%)
Willing to provide mental health documentation for clients seeking gender affirming services
Yes – willing and able	113 (79.6%)
Yes – able but unwilling	3 (2.1%)
No – willing but unable	16 (11.3%)
No – unwilling and unable	5 (3.5%)

^*Collective hours therefore some overlap

Note: APA = American Psychological Association; LGBTQ = Lesbian, gay, bisexual, transgender, and queer/questioning; NYC = New York City; PFLAG = Parents and Friends of Lesbians and Gays; VA = Veterans Administration; WPATH = World Professional Association of Transgender Health.

There were 5 cases missing from willing to provide a letter for gender affirmation services; 31 cases from the number of sources providing TGD specific training and one case missing from completed TGD specific training.